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This randomized controlled trial evaluated the effectiveness of an immersive virtual reality (IVR) application (focused on a daily activity) to train cognitive functions and its impact on depression and the ability to perform activities of daily living (ADL) in patients with mild cognitive impairment (MCI). With a dose of two sessions per week during six weeks, the study showed significant improvements in cognitive functions and reduction in depression, with notable effects in the experimental group. This underscores the potential of IVR as a valuable tool in the management of MCI.
Background:
The increase in cases of MCI underlines the urgency of finding effective methods to slow its progression. Given the limited effectiveness of current pharmacological options to prevent or treat the early stages of this deterioration, non-pharmacological alternatives are especially relevant.
Aim: The study aimed to evaluate the effectiveness of an immersive virtual reality (IVR) application, focused on an activity of daily living (ADL), to train cognitive functions and its impact on depression and the ability to perform ADL in patients with MCI. IVR is presented as an innovative tool with the potential to offer a promising non-pharmacological approach.
Methods:The researchers implemented a 40-minute-long intervention, twice a week for six weeks (totaling 12 sessions), using the cupboard task (based on IVR). The study included the participation of individuals with MCI, randomly distributed into control (n=12) and experimental (n=14) groups. The majority in the control group were women (75%), with a mean age of 77.67 years, and in the experimental group, women represented 57.14%, with a mean age of 74.86 years. Cognitive functions, depression, and the ability to perform ADLs were assessed. The scales used were: the Spanish version of the Montreal Cognitive Assessment (MoCA-S), the Short Geriatric Depression Scale (SGDS-S) and the Instrumental Activities of Daily Living Scale. (IADL-S), respectively.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental group | Experimental | Experimental group |
|
| Control group | Active Comparator | Control group |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| cognitive training via immersive virtual reality | Device | 20 minutes per session, twice a week for six weeks (totaling 12 sessions), using the cupboard task application. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Spanish version of the Montreal Cognitive Assessment (MoCA-S) | Scores in the MoCA-S scale. Higher scores mean a better outcome. | 6 weeks |
| Short Geriatric Depression Scale (SGDS-S) | Scores in the SGDS scale. Higher scores mean a worse outcome. | 6 weeks |
| Instrumental Activities of Daily Living Scale (IADL-S) | Scores in the IADL scale. Higher scores mean a better outcome. | 6 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Guillermo Palacios, PhD | Universidad de Zaragoza | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Zaragoza | Teruel | 44003 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39090664 | Derived | Buele J, Aviles-Castillo F, Del-Valle-Soto C, Varela-Aldas J, Palacios-Navarro G. Effects of a dual intervention (motor and virtual reality-based cognitive) on cognition in patients with mild cognitive impairment: a single-blind, randomized controlled trial. J Neuroeng Rehabil. 2024 Aug 1;21(1):130. doi: 10.1186/s12984-024-01422-w. |
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| cognitive training via paper and pencil | Other | 20 minutes per session, twice a week for six weeks (totaling 12 sessions), using cards. |
|
| motor stimulation | Other | motor stimulation for 12 sessions (20 minutes per session) |
|
| ID | Term |
|---|---|
| D060825 | Cognitive Dysfunction |
| ID | Term |
|---|---|
| D003072 | Cognition Disorders |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
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